Active NPI
Edward A Darnel, D.C.
- Orthopedic Chiropractor
- Pine Bluff, AR
National Provider Identifier
1124235700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 1630
- Practice address
- 2622 W 28TH Ave
Pine Bluff, AR 71603-4917 - Phone
- (870) 534-8991
- Fax
- (870) 534-1076
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 1630 | AR | Primary |
Addresses
Primary practice location
2622 W 28TH Ave
Pine Bluff, AR 71603-4917
Mailing address
4100 Old Warren Rd Apt 9
Pine Bluff, AR 71603-6113
Phone (870) 534-8991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1630 | AR | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DC Development PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Pine Bluff, AR
- NPI 1972635886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124235700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 OLD WARREN RD APT 9",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036113",
"telephone_number": "870-534-8991",
"fax_number": "870-534-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 W 28TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716034917",
"telephone_number": "870-534-8991",
"fax_number": "870-534-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARNEL",
"first_name": "EDWARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "AR",
"license": "1630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.